Ryan Lange, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

100439 Issued in CA

Practice address

17897 Macarthur Blvd
Irvine, CA 92614-0533

Phone

(949) 251-8544

NPI assigned

Oct 26, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ryan Lange D.M.D. Inc.

  • Preferred Provider Organization
  • Irvine, CA
  • NPI 1275038051
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1720530645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CLEARWOOD AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925066261",
            "telephone_number": "951-901-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17897 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140533",
            "telephone_number": "949-251-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100439",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andraya Lane
• Denise Marie Lane, PT, DPT
• Taylor Laneau
• Howard Gerald Lang, M.D.
• Benjamin Robert Lange
• Brittany Michelle Langevin, AGACNP-BC
• Langford Hawks Nursing Anesthesia Apc
• Kalli Langsdorf, ATC
• Ashley Leslie Lankford, NP-C
• Staphany Lao, PT, DPT

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.